June 21, 2023

FROM:	Megan Quillen, Clovis Unified School District Benefits Department TO:	Clovis USD Retirees Enrolled on the CUSD Health Plan
RE:	Important Information for Retirees

Direct Contracting for Imaging Services

On behalf of the Employee Benefits Committee we are excited to announce that effective September 1, 2023 the District will be contracting directly with RadNet and CMI Radiology Group to provide our members with a discount to our health plan. While the Health Plan’s existing list of available imaging providers will not change, Direct Contracting allows members and their dependents to receive imaging services at NO COST while the District’s Health Plan will save money with discounted rates by contracting directly with these providers.

What does this mean for you?

⮚When using these Direct Contract imaging providers, retirees and their dependents will have their copays/deductibles and pre-authorizations waived on the services received from these providers.
⮚All retirees covered under our health plan will receive a Direct Contracting ID Card in the mail during the month of August.
⮚When utilizing a Direct Contracted provider, members must present their Direct Contracting ID card (in lieu of their Blue Shield ID Card) to receive the waived copay/deductible and waived pre-authorization benefit.
o If the Blue Shield ID Card is presented instead of the Direct Contracting card members will not receive the benefit of having a waived copay/deductible and waived pre-authorization.
⮚Upon implementation, digital Direct Contracting ID Cards will also be available through the myHNAS online portal or mobile application.

What locations are included in the Direct Contract?

RadNet Locations: | CMI Radiology Group Locations:
Fresno Imaging Center 6191 N. Thesta Street Fresno, CA 93710 | Advanced Medical Imaging - Magnolia 570 N Magnolia Ave #103 Clovis, CA 93611
WISH Fresno Breast Center 6107 N. Fresno Street, #101 Fresno, CA 93710 | Advanced Medical Imaging – Northpointe 6771 N Palm Ave, Fresno, CA 93704 (women’s center)
Sierra Medical Imaging 231 Fir Avenue Clovis, CA 93611 | California Imaging Institute 1867 E Fir Ave # 101, Fresno, CA 93720
Valley Metabolic Advanced Imaging 6121 N. Thesta Street, #207 Fresno, CA 93710 | Advanced Medical Imaging - Clovis 729 Medical Center Dr W #109 Clovis, CA 93611

Can I still use imaging providers outside of those we are directly contracted with?

Yes! There will be NO change to the district’s current plan. All existing Tandem PPO network providers are still available to utilize but members will only receive the waived copay/deductible and pre-authorization benefit when utilizing a Direct Contracted provider.

What if Medicare is my primary insurance?

Retirees enrolled in Medicare will continue to use Medicare as their primary coverage and should present the Direct Contracting ID Card to be used as secondary coverage for imaging services. When providing the Direct Contracting ID Card, retirees will benefit from the overall cost savings to the retiree health plan.

If you have any questions regarding the changes mentioned above, please feel free to contact the CUSD Benefits Department at 559-327-9125.

Sincerely,

Megan Quillen Benefits Analyst